Skip to main content
SpringerLink
Log in

Bilateral and simultaneous rupture of the triceps tendons in chronic renal failure and secondary hyperparathyroidism

  • Case Report
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Background

We report a case of a 27-year-old (male) patient with bilateral and simultaneous rupture of the triceps tendons. He was suffering from chronic renal failure secondary to acute glomerulonephritis and for 4 years he underwent maintenance hemodialysis three times a week. This injury is extremely rare, and only one case has been reported in the international literature. Based on previous cases of tendon ruptures in patients with chronic renal failure, we believe that secondary hyperparathyroidism is the primary causative factor in his case.

Case report

A primary repair was performed using heavy, nonabsorbable sutures passed through holes drilled in the olecranon with the technique described by Levy. The suture line was then protected with a figure-of-eight tension band wire. Our patient obtained full range of motion bilaterally within 3 months.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Cirincione RJ, Baker BE (1975) Tendon ruptures with secondary hyperparathyroidism. A case report. J. Bone Joint Surg. Br 57:852–853

    CAS  Google Scholar 

  2. De Waal Malefijt MC, Beeker TW (1987) Avulsion of the triceps tendon in secondary hyperparathyroidism. A case report. Acta Orthop Scand 58:434–435

    PubMed  Google Scholar 

  3. Finlayson GR, Smith JC, Moore MJ (1964) Effects of chronic acidosis on connective tissue. JAMA 187:659–662

    PubMed  Google Scholar 

  4. Jones N, Kjellstrand CM (1996) Spontaneous tendon rupture in patients on chronic dialysis. Am J Kidney Dis 28:861–866

    PubMed  Google Scholar 

  5. Jorgensen F, Solgaard S (1982) Bilateral rupture of the triceps tendon in a patient receiving long-term hemodialysis. Ugeskr Laeger 144:2723

    PubMed  Google Scholar 

  6. Levy M (1987) Brief report. Repair of triceps tendon avulsions or ruptures. J Bone Joint Surg Br 69:115

    PubMed  Google Scholar 

  7. McMaster PE (1933) Tendon and muscle ruptures. Clinical and experimental studies of the causes and subcutaneous ruptures. J Bone Joint Surg 15:705–722

    Google Scholar 

  8. Murphy KJ, McPhee I (1965) Tears of major tendons in chronic acidosis with elastosis. J Bone Joint Surg Br 47:1253–1258

    CAS  Google Scholar 

  9. Preston FS, Adicoff A (1962) Hyperparathyroidism with avulsion of three major tendons. Report of a case. N Engl J Med 266:968–971

    PubMed  Google Scholar 

  10. Searfoss R, Tripi J, Bowers W (1976) Triceps brachii rupture: a case report. J Trauma 16:244–246

    PubMed  Google Scholar 

  11. Wagner JR, Cooney WP (1997) Rupture of the triceps muscle at the musculotendinous junction: a case report. J Hand Surg [Am] 22:341–343

Download references

Author information

Authors and Affiliations

  1. Orthopaedic Department, General Hospital of Trikala, 9, Dorotheou Str., 42100, Trikala, Greece

    Stefanos Tsourvakas, Konstantinos Gouvalas, Christos Gimtsas & Nikolaos Ameridis

  2. Nephrologic Department, General Hospital of Trikala, Trikala, Greece

    Nikolaos Tsianas & Paraskevi Founta

Authors
  1. Stefanos Tsourvakas
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Konstantinos Gouvalas
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Christos Gimtsas
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Nikolaos Tsianas
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Paraskevi Founta
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Nikolaos Ameridis
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Stefanos Tsourvakas.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tsourvakas, S., Gouvalas, K., Gimtsas, C. et al. Bilateral and simultaneous rupture of the triceps tendons in chronic renal failure and secondary hyperparathyroidism. Arch Orthop Trauma Surg 124, 278–280 (2004). https://doi.org/10.1007/s00402-003-0628-3

Download citation

  • Received:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00402-003-0628-3

Keywords

Search

Navigation